Prevalence of comorbidities in obese New Zealand children and adolescents at enrolment in a community-based obesity programme

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dc.contributor.author Anderson, Yvonne en
dc.contributor.author Wynter, LE en
dc.contributor.author Treves, KF en
dc.contributor.author Grant, Cameron en
dc.contributor.author Stewart, Joanna en
dc.contributor.author Cave, Tami en
dc.contributor.author Wild, Cervantee en
dc.contributor.author Behrensdorf Derraik, Jose en
dc.contributor.author Cutfield, Wayne en
dc.contributor.author Hofman, Paul en
dc.date.accessioned 2017-07-31T23:25:56Z en
dc.date.issued 2016-12 en
dc.identifier.citation Journal of Paediatrics and Child Health 52(12):1099-1105 Dec 2016 en
dc.identifier.issn 1034-4810 en
dc.identifier.uri http://hdl.handle.net/2292/34643 en
dc.description.abstract AIM: The aim of this study was to describe the characteristics at enrolment of children and adolescents referred to an obesity programme and to determine how the prevalence of comorbidities differed in Indigenous versus non-Indigenous children. METHODS: Participants were residents of a semi-rural region of New Zealand (NZ). Eligibility was defined by a body mass index (BMI) of ≥98th percentile or >91st centile with weight-related comorbidities. Fasting blood, medical and physical assessments were obtained. RESULTS: During the recruitment period from January 2012 to August 2014, 239 participants, aged 4.8-16.8 years, undertook assessment. Average BMI standard deviation score was 3.09 (standard deviation (SD) = 0.60, range 1.52-5.34 SD). The majority of participants were of either Maori (NZ's indigenous people (45%)) or NZ European (45%) ethnicity; 29% of participants were from the most deprived quintile of household deprivation. Maori participants were more likely than NZ Europeans to have a mother who smoked during pregnancy (52% vs. 28%, P = 0.001), a family history of type 2 diabetes (66% vs. 53%, P = 0.04), acanthosis nigricans on examination (58% vs. 20%, P < 0.0001), a low serum high-density lipoprotein cholesterol (27% vs. 14%, P = 0.03) or high serum triglyceride (38% vs. 24%, P = 0.03) concentration. CONCLUSION: The unique aspect of this study was the ability to recruit high levels of Maori participants and those from most deprived areas, indicating a high level of acceptability for these target groups. Comorbidities were prevalent in this cohort of overweight/obese school-aged children. While there were some differences in comorbidity prevalence between Maori and NZ Europeans, the overall clinical picture in our cohort, irrespective of ethnicity, was of concern. en
dc.publisher Blackwell Publishing Inc. en
dc.relation.ispartofseries Journal of Paediatrics and Child Health en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Prevalence of comorbidities in obese New Zealand children and adolescents at enrolment in a community-based obesity programme en
dc.type Journal Article en
dc.identifier.doi 10.1111/jpc.13315 en
pubs.issue 12 en
pubs.begin-page 1099 en
pubs.volume 52 en
dc.rights.holder Copyright: Blackwell Publishing Inc. en
dc.identifier.pmid 27634284 en
pubs.end-page 1105 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 541402 en
pubs.org-id Liggins Institute en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Paediatrics Child & Youth Hlth en
dc.identifier.eissn 1440-1754 en
pubs.record-created-at-source-date 2017-06-02 en
pubs.online-publication-date 2016-09-16 en
pubs.dimensions-id 27634284 en


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